PCOS-MEDICATION Messages for August, 2001: TO DOCTOR SAM:Confusion

TO DOCTOR SAM:Confusion

From: Sarah (anonymous@obgyn.net)
Tue, 7 Aug 2001 12:26:30 -0500 (CDT)

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Dr. Sam.

i'm confused. why are doctors against BCP for people with polycystic ovaries? i take ortho-cept and 100mg of spiro/day. gluc makes me sick, so my doctor and told me to hold off on that med until i want to have children, or symptoms get worse. (i am not IR, my hormone levels are all "normal" by 4 different doctor's standards, though my testosterone is "high normal", which is why i take the bcps and the spiro; also, i am very thin but eat a low carb diet just to be on the safe side). i have very slight acne and facial hair but nothing intense. the only reason why i know i have PCOS is because my ovaries are littered with cysts. if i was not on the bcps, i would never get a period which is no good.... and i do not want to overmedicate (i'm only 22).

so, again, my question: am i doing the right thing?

At Tue, 7 Aug 2001, Alexandra wrote: >
>Thank you for your response. It was very helpful.
>
>--
>Alexandra
>
>At Mon, 6 Aug 2001, =?iso-8859-2?q?Zalányi wrote:
>>
>>Hi Alexandra,
>>
>>Most drs experienced in PCOs are against BCP use, except for Diane and probably the new Yasmin. I don't have any experiences with the latter. Provera is definetely better for most patients, because you don't put in any estrogens, which PCOSers have in excess.
>>You could try the other insulin sensitizers Avandia or Actos.
>>For your help
>>
>>Sam
>>
>>> I was on metformin and discontinued taking it because it raised some of
>>> my liver enzymes. I am now on birth control pills. I know that there
>>> are other medications that are going to be available soon to treat IR (I
>>> am borderline). What options do I have at the present time? I prefer to
>>> take provera instead of birth control but I seem to develop more cysts
>>> when I take provera. What would you recommend?
>>>
>>> Thanks,
>>> Alexandra
>

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